Ms Susan Mary Runyan, REGISTERED DIETITIAN is a
Dietitian, Registered based in Eielson Afb, Alaska. Ms Susan Mary Runyan is licensed to practice in Alaska (license number 110) and her current practice location is
354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 377-6662.
NPI number for Ms Susan Mary Runyan is 1760442297 and her current mailing address is 2594 Carrie Lynn Dr, North Pole, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760442297.
Healthcare Provider's Profile
Full Name | Ms Susan Mary Runyan |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 354th Medical Group, Eielson Afb, Alaska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760442297
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Susan Mary Runyan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760442297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 110 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan Mary Runyan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Susan Mary Runyan, REGISTERED DIETITIAN 2594 Carrie Lynn Dr, North Pole, AK 99705-5639 Ph: (907) 488-2968 | Ms Susan Mary Runyan, REGISTERED DIETITIAN 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 Ph: (907) 377-6662 |
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